Provider Demographics
NPI:1821217365
Name:ACHO, BARBARA KITINGER (LMSW, ACSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KITINGER
Last Name:ACHO
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35306 MUER CV
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2027
Mailing Address - Country:US
Mailing Address - Phone:248-661-0769
Mailing Address - Fax:
Practice Address - Street 1:28423 ORCHARD LAKE RD
Practice Address - Street 2:#212
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2971
Practice Address - Country:US
Practice Address - Phone:248-553-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010204901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICSW #6801020490OtherCLINICAL SOCIAL WORKER